CorVel Corporation

Claims Specialist

• Manages non-complex and non-problematic, medical only claims and minor lost-time workers’ compensation claims under close supervision
• Receives claims, confirms policy coverage and acknowledgment of the claim
• Determines the validity and compensability of the claim
• Establishes reserves and authorizes payments within established reserving authority limits
• Communicates claim status with the customer, claimant and client
• Adheres to client and carrier guidelines and participates in claims review as needed
• Assists other claims professionals with more complex or problematic claims as necessary
• Additional duties as assigned

Medical Only Claims Specialist

• Handles complex and high-profile Workers' Compensation claims following company standards
• Works closely with case managers and attorneys, manages subrogation, and negotiates settlements
• Ensures best possible outcome for the claim and meets customer service expectations
• Supports the goals of the Claims Department and CorVel

Senior Claims Specialist

Software Engineer

• Responsible for increasing in-network claims penetration and network revenue through effective contracting and management of contracted Providers
• Identify, initiate, follow-up, negotiate, and finalize effective contracts and renegotiation efforts with providers
• Work jointly with District Manager (or above) and management team to set targets based on client needs and strategic direction for your market
• Build relationships and interact with providers and share CorVel’s value and differentiators through community involvement
• Become a state expert of local compensation rules and regulations
• Arrange face to face meetings with CorVel management team and top prospects
• Collaborate with respective National Developer on major hospital/health system targets
• Interface with National Database (NDB) Team to add new contracts
• Research network problems and initiate resolution

Medical Only Claims Specialist

Senior Claims Specialist

Network Developer II